Anatomic and functional reconstruction of the joint in severe bone and ligamentous knee instability with semi-constrained systems of total knee replacement.
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2006, Vol 8, Issue 3
Abstract
Background. The study was made to evaluate efficiency of semi-constrained systems of TKR in correction of severe bone and ligamentous instability in knee joint with degenerative disease. Material and methods. Retrospective investigation of the 50 consecutive TKRs performed in 40 patients (40 women) between 1995-2000 was made. There were following prosthesis implanted: GSB - 45 and Endo-Model - 5. 48 knees were evaluated. Patients' mean age was 65,6 years old. Mean time of follow-up was 32,8 months (range: 1-5 years). Functional status was evaluated according to KSS scale and radiographic results were investigated with standard plain x-ray pictures. Anatomic results were investigated by the computed posturography with the use of Metrecom Systems. Results. In study group there were: 26% excellent, 68% good, 4% fair and 2% poor results respectively in Knee Score (KSS). There are no statistical differences between anatomical and radiological results of TKR in the knee joints with severe deformity. A little poorer efficiency of the semi-constrained system of total knee arthroplasty in functional reconstruction of the knee joint was due to poor general-health status of the patients and multi-joint nature of their disease. Conclusions. 1. Results of TKR with semi-constrained systems in short-term follow-up (1-5 years) are very good. 2. Posturographic and radiographic studies show that with semi-constrained system of TKR allows for reconstruction of proper anatomy of the knee joint even in severe deformed cases. 3. Functional results of TKR with semi-constrained systems are good in severely unstable and deformed knee joints.
Authors and Affiliations
Julian Dutka, Paweł Sosin, Andrzej Szczygieł, Piotr Łata
Keywords
Related Articles
- EP ID EP56560
- DOI -
- Views 116
- Downloads 0
Neuropathological Aspects of Conservative Treatment of Scoliosis. A Theoretical View Point.
Abstract An upright body posture cannot be maintained passively for reasons including a high location of the centre of gravity (COG) and a small support area. Proper alignment of body parts is maintained au-tomatically,...
Efektywność fizjoterapii w leczeniu zespołu bocznego przyparcia rzepki po rekonstrukcji więzadła krzyżowego przedniego - doniesienie wstępne
Wstęp. Jednym z często występujących powikłań po rekonstrukcji więzadła krzyżowego przedniego jest zespół bocznego przyparcia rzepki. Jego konsekwencją może być przedwczesne zużycie powierzchni stawowych kości udowej i p...
The Body Mass Index (BMI) and rehabilitation outcome in patients with degenerative changes of the knee joint
Background. Given that obesity is the primary risk factor and pain the primary symptom of degenerative disease of the knee joint, we undertook to study the dependency between the Body Mass Index (BMI) and pain symptoms,...
RESULTS OF TREATMENT OF MALLET FINGER BY INTERNAL SPLINTING – A PRELIMINARY REPORT
Backround: Mallet finger, although common represents a spectrum of injuries for which there are many questions about the best form of treatment. Many authors advocate orthopedic treatment which is less invasive but requi...
Nawykowe zwichnięcie stawu biodrowego w przebiegu nerwiakowłokniakowatości typu 1. Opis przypadku.
Opisywany jest przypadek 15-letniego chorego z nerwiakowłókniakowatością typu 1, u którego rozwinęło się nawykowe zwichnięcie stawu biodrowego prawego. W badaniach obrazowych nie uwidoczniono patologicznej w obrębie pane...